| NPI | 1639469315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MILLER Clinical Psychologist 312-475-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006440) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-12-16 |